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Instructional Course Lecture   |    
Revision Open Capsular Shift for Atraumatic and Multidirectional Instability of the Shoulder
Aaron J. Bois, MD, MSc, FRCSC1; Michael A. Wirth, MD1
1 The University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive, Mail Code 7774, San Antonio, TX 78229. E-mail address for A.J. Bois: bois@uthscsa.edu
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Printed with permission of the American Academy of Orthopaedic Surgeons. This article, as well as other lectures presented at the Academy's Annual Meeting, will be available in March 2013 in Instructional Course Lectures, Volume 62. The complete volume can be ordered online at www.aaos.org, or by calling 800-626-6726 (8 a.m.-5 p.m., Central time).

An Instructional Course Lecture, American Academy of Orthopaedic Surgeons


Disclosure: None of the authors received payments or services, either directly or indirectly (i.e., via his or her institution), from a third party in support of any aspect of this work. One or more of the authors, or his or her institution, has had a financial relationship, in the thirty-six months prior to submission of this work, with an entity in the biomedical arena that could be perceived to influence or have the potential to influence what is written in this work. No author has had any other relationships, or has engaged in any other activities, that could be perceived to influence or have the potential to influence what is written in this work. The complete Disclosures of Potential Conflicts of Interest submitted by authors are always provided with the online version of the article.

Copyright © 2012 by The Journal of Bone and Joint Surgery, Inc.
J Bone Joint Surg Am, 2012 Apr 18;94(8):748-756. doi: 10.2106/JBJS.L00090
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Extract

Shoulder stability is critical for proper functioning of the upper extremity and is dependent on the interplay between static and dynamic stabilizers of the glenohumeral joint. Surgical management of patients with atraumatic and multidirectional instability is effective if the capsular redundancy is properly reconstructed to restore glenohumeral joint biomechanics. Residual capsular laxity remains a common cause of recurrent glenohumeral joint dislocation in patients who have had previous stabilization procedures, and surgical results become less predictable in patients who have had multiple revision procedures. This article demonstrates the importance of the detection of capsular laxity at the time of the index surgery and of the use of reliable surgical techniques to obtain optimal results.
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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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